| NPI | 1841711579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D011039) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL S8062) |
| 122300000X Dentist (Licence: IL 019031469) | |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2021-07-16 |