| NPI | 1144881533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.036973) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2019023334) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2026-05-19 |