| NPI | 1093857799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WI 6001364-15) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 1917286) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2025-10-01 |