| NPI | 1821100371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.025342) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019025342) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-07-24 |