| NPI | 1972299048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 136.000269) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 0401418279) |
| 122300000X Dentist (Licence: VA 0401418279) | |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |