| NPI | 1235372947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.027874) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS 037307) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-04-10 |