| NPI | 1275897498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019029091) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019029091) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2017-06-13 |