| NPI | 1043356918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.021941) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.021658) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |