| NPI | 1336346089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019026166) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 8960) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2013-07-23 |