| NPI | 1609706043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.037277) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 1223G0001X Dentist, General Practice (Licence: IL 019.037277) | |
| Enumeration Date | 2026-05-19 |
| Last Update Date | 2026-06-30 |