| NPI | 1447404579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019027040) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 053702) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2013-01-12 |