| NPI | 1609065689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019027556) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 56341) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2010-09-16 |