| NPI | 1669628244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019-021540) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019-018490) |
| 122300000X Dentist (Licence: IL 019-021669) | |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2008-08-14 |