| NPI | 1770835316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019029251) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401413773) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |