| NPI | 1386210557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019035996) |
| Additional Taxonomies | 122300000X Dentist (Licence: CT 13081) |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2025-08-06 |