| NPI | 1295283943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019032504) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401415384) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2023-03-07 |