| NPI | 1447486618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.027947) |
| Additional Taxonomies | 122300000X Dentist (Licence: KS 60722) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2014-02-20 |