| NPI | 1508065590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 060043-1) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.027395) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2019-08-16 |