| NPI | 1588272140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019032815) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: MO 2021020128) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2021-06-23 |