| NPI | 1184766263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist Periodontics (Licence: IL 021002255) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019027551) |
| 1223P0300X Dentist Periodontics (Licence: MI 17972) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-02-04 |