| NPI | 1366572802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 019.025900) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: IL 021002162) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2009-11-12 |