| NPI | 1730506114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.030946) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN 21828) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2020-08-06 |