| NPI | 1871107151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 1002432-15) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.032892) |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2022-05-12 |