| NPI | 1538574546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.029792) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.029792) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2021-08-18 |