| NPI | 1760407795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PR 2325) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019021146) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |