| NPI | 1679741037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019-027357) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: IL 021-002235) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2011-09-12 |