| NPI | 1780716803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025718) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019025718) |
| 1223G0001X Dentist, General Practice (Licence: FL DN23169) | |
| 122300000X Dentist (Licence: FL DN23169) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2023-12-22 |