| NPI | 1194030957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19035149) |
| Additional Taxonomies | 122300000X Dentist (Licence: OK 6454) |
| 122300000X Dentist (Licence: MO 2010017952) | |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2024-07-23 |