| NPI | 1134209786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 057201-1) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019-022924) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2018-07-14 |