| NPI | 1386702785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025857) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2017015151) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2018-03-17 |