| NPI | 1306576996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.033729) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2022021586) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2026-02-27 |