| NPI | 1780857441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019127523) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.027523) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2021-08-10 |