| NPI | 1932375219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026298) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 055956) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2018-11-27 |