| NPI | 1922591247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 36029) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019031717) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2022-02-17 |