| NPI | 1811320799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019030479) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS039944) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2019-12-27 |