| NPI | 1427286855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.027986) |
| Additional Taxonomies | 122300000X Dentist (Licence: WI 6406-015) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2013-04-02 |