| NPI | 1992719645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 36059) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 36059) |
| 122300000X Dentist (Licence: IL 019024527) | |
| 1223G0001X Dentist, General Practice (Licence: IL 19-024527) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2022-11-14 |