| NPI | 1154664787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401415003) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019029644) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2015-09-22 |