| NPI | 1932817772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MI 2901601529) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IL 019033661) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2023-05-26 |