| NPI | 1427046788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019-016921) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: IL 021-001084) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2007-07-08 |