| NPI | 1124608419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019036952) |
| Additional Taxonomies | 122300000X Dentist (Licence: NM DD5620) |
| Enumeration Date | 2021-04-11 |
| Last Update Date | 2026-10-05 |