| NPI | 1932889995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 18743) |
| Additional Taxonomies | 122300000X Dentist (Licence: NE 7954) |
| 122300000X Dentist (Licence: IL 019035799) | |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2025-10-22 |