| NPI | 1679639819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021001324) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019018221) |
| Enumeration Date | 2006-12-30 |
| Last Update Date | 2009-03-18 |