| NPI | 1942934997 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D011934)  | 
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019033823)  | 
| Enumeration Date | 2022-07-14 | 
| Last Update Date | 2023-08-09 |