| NPI | 1891470985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019.034654) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401418420) |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-11-20 |