| NPI | 1255644274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 021002599) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019028352) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2017-11-16 |