| NPI | 1700662632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019036497) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901601739) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2026-08-05 |