| NPI | 1790677649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 41769) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.035986) |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |