| NPI | 1245410984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019028715) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 1001144-15) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2025-03-21 |