| NPI | 1699904615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: IL 036139262) |
| Additional Taxonomies | 122300000X Dentist (Licence: NE 6869) |
| 122300000X Dentist (Licence: IL 019027949) | |
| Enumeration Date | 2009-07-12 |
| Last Update Date | 2024-06-04 |