| NPI | 1700435047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: IL 021002973) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019030910) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-11-19 |