| NPI | 1467061754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IA DDS-09779) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019032738) |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2026-04-12 |