| NPI | 1104552595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019035815) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901601489) |
| Enumeration Date | 2022-07-27 |
| Last Update Date | 2025-07-30 |