| NPI | 1992233084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019032527) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12012695A) |
| 1223G0001X Dentist, General Practice (Licence: IN 12022695A) | |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2021-07-21 |