| NPI | 1114044526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 021-1093) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019-0016706) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2025-09-11 |