| NPI | 1285250951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN124101) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.032579) |
| 1223G0001X Dentist, General Practice (Licence: MD 18474) | |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2026-03-23 |