| NPI | 1053422758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019023986) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901017114) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-10-08 |