| NPI | 1972736247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019022883) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 0004421-015) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |