| NPI | 1669814190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019029569) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: TX 37402) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2022-09-12 |