| NPI | 1558640185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019028764) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 100763) |
| Enumeration Date | 2011-08-14 |
| Last Update Date | 2022-12-06 |