| NPI | 1295244911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: IL 019.032081) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02688000) |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2025-07-07 |