| NPI | 1972790756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019027854) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 018001634) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2023-09-22 |