| NPI | 1578624524 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026133)  | 
| Additional Taxonomies | 122300000X Dentist (Licence: IL 19026133)  | 
| Enumeration Date | 2006-12-13 | 
| Last Update Date | 2025-06-19 |