| NPI | 1174051759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TN 12703) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019031123) |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2025-01-22 |