| NPI | 1225792849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019034319) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2021021362) |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2025-07-22 |