| NPI | 1124252697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN 13288) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019027724) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401420251) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2026-09-04 |