| NPI | 1720334956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019030550) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MA DN1856398) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2016-02-10 |