| NPI | 1922447309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019030199) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401414002) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2015-11-10 |