| NPI | 1295284024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 136.000271) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: ZZ 98013) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2024-01-29 |