NPI | 1104385541 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019033740) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: IL 021003197) |
Enumeration Date | 2019-03-15 |
Last Update Date | 2025-07-01 |