| NPI | 1811739386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.035172) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2024029603) |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2025-09-11 |