| NPI | 1396943213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901019663) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019027797) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2011-06-08 |