| NPI | 1225682636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019032319) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901600236) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-08-30 |