| NPI | 1225608961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MO 2025040062) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019033227) |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2025-12-16 |