| NPI | 1043828627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019032737) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2020019181) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |