| NPI | 1730633975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: IL 019.030907) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IL 019.030907) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2024-11-06 |