| NPI | 1265518815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019.027246) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: FL DN16982) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2008-01-18 |