| NPI | 1174775803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019029655) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IL 319018816) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2015-03-06 |