| NPI | 1861927782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019031857) |
| Additional Taxonomies | 122300000X Dentist (Licence: IA DDS-09381) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2020-12-23 |