| NPI | 1295308492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: IL 019.033350) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: FL 26156) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-07-23 |