| NPI | 1114068350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019026196) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN012782) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |