| NPI | 1649496910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: MD 14764) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019023180) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2012-09-19 |