| NPI | 1699905620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.027980) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MO 2008035656) |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |