| NPI | 1770689572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.016343) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: IL 021.001072) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |