| NPI | 1639789936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 021.003278) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.032571) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2023-07-29 |