| NPI | 1417982687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019019) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 0210012900) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |