| NPI | 1649476003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019017980) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12007980A) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2007-07-08 |