| NPI | 1588225965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.033051) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 32959) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2022-06-13 |