| NPI | 1962055897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019032254) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: IL 019.032254) |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2022-04-21 |