| NPI | 1942382494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025855) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 19025855) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2024-02-05 |