| NPI | 1639457021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.028749) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: IL 021.002416) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-15 |