| NPI | 1548675499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019030237) |
| Additional Taxonomies | 122300000X Dentist (Licence: KS 61009) |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2015-09-29 |