| NPI | 1720349400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: NY 056642) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.032488) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2023-12-21 |