| NPI | 1326305244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019031350) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS039037) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2021-09-13 |