| NPI | 1255547501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AK 243791) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019-022923) |
| 1223G0001X Dentist, General Practice (Licence: OR D10958) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2026-02-13 |