| NPI | 1790149631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019025797) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MI 2901018309) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |