| NPI | 1841444270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 021.002337) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.097041) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2009-10-05 |