| NPI | 1881683076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-025827) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 5595-015) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2009-01-21 |