| NPI | 1134433873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019028852) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 1855530) |
| 122300000X Dentist (Licence: FL 19184) | |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2011-10-06 |