| NPI | 1780087619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019030060) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.030060) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2024-09-11 |