| NPI | 1023154119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019023947) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 015862) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |