| NPI | 1235623042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.031713) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12013522A) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2023-06-12 |