| NPI | 1659620318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: IL 019029209) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.029209) |
| Enumeration Date | 2012-09-09 |
| Last Update Date | 2024-07-17 |