| NPI | 1700040979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027900) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY P65184) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2010-06-15 |