| NPI | 1457403917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D009520) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019026167) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2016-07-07 |