| NPI | 1750510301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019027990) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2009016931) |
| Enumeration Date | 2009-07-03 |
| Last Update Date | 2017-03-14 |