| NPI | 1720237589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019028500) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401412295) |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2018-09-27 |