| NPI | 1992375729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.034784) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901600954) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2026-08-10 |