| NPI | 1184258873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019032479) |
| Additional Taxonomies | 122300000X Dentist (Licence: IA DDS-10055) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2023-04-21 |