| NPI | 1770143075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019032943) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 1002121) |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2022-05-04 |