| NPI | 1598808131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019025064) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: IL 021002061) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |