| NPI | 1720074206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026652) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA 08210) |
| 122300000X Dentist (Licence: ID 4358) | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2022-07-21 |