| NPI | 1356412530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 021.001004) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.015877) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2013-03-01 |