| NPI | 1982839585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.027922) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019027922) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2011-02-14 |