| NPI | 1922538206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 12647) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 319020538) |
| 122300000X Dentist (Licence: IL 019031184) | |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2024-04-17 |