| NPI | 1750521993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019027880) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL pending) |
| Enumeration Date | 2009-02-28 |
| Last Update Date | 2020-11-19 |