| NPI | 1003595133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.034515) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901602842) |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2025-12-11 |