| NPI | 1205726106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NY 064612) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: IL 019.033706) |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2025-07-03 |