| NPI | 1174962450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: IL 021.002785) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019029448) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2023-11-29 |