| NPI | 1023585130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.033459) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 136.000223) |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2022-04-07 |