| NPI | 1215394739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019031266) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019031266) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2025-04-01 |