| NPI | 1285912410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CT 010774) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019028782) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2015-05-21 |