| NPI | 1265321699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.036217) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2025027647) |
| Enumeration Date | 2025-07-01 |
| Last Update Date | 2025-07-07 |