| NPI | 1790128882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 136000228) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA 40154) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2018-06-12 |