| NPI | 1821558974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.032516) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 1002081-15) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2024-11-05 |