| NPI | 1154733640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019030131) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN 20610) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2015-07-08 |