| NPI | 1467661371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019-025868) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IL 019.025868) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-06-19 |