| NPI | 1265832240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 057489) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019032848) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2021-08-11 |