| NPI | 1407002165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.027150) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IN 12010893A) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |