| NPI | 1285180869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 019030736) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.030736) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-03-23 |