| NPI | 1619704012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain (Licence: IL 019.035527) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.035527) |
| Enumeration Date | 2024-09-18 |
| Last Update Date | 2024-09-18 |