| NPI | 1427383363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019029657) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2009013187) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2019-11-06 |