| NPI | 1598871675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019019547) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019019547) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2009-10-28 |