| NPI | 1700550290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.033317) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019033317) |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2022-01-24 |