| NPI | 1740025352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019035822) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2024024460) |
| Enumeration Date | 2024-06-26 |
| Last Update Date | 2026-10-28 |