| NPI | 1861564379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-023289) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 01-025279) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2007-07-08 |