| NPI | 1073103370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021003452) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019033234) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2025-07-22 |