| NPI | 1699085316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019028748) |
| Additional Taxonomies | 122300000X Dentist (Licence: NJ 22DI02453700) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2012-12-21 |