| NPI | 1932307279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027442) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 60192) |
| Enumeration Date | 2007-07-09 |
| Last Update Date | 2011-05-24 |