| NPI | 1134553977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 6735) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019029602) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2017-03-08 |