| NPI | 1528898921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DS045207) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.035429) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2025-06-30 |