| NPI | 1194201996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019.031718) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: IL 019-031718) |
| Enumeration Date | 2018-07-14 |
| Last Update Date | 2025-01-15 |