| NPI | 1154421030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 021001662) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: IL 019022082) |
| 1223P0300X Dentist, Periodontics (Licence: IL 319011177) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2007-07-08 |