| NPI | 1982998845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019028935) |
| Additional Taxonomies | 122300000X Dentist (Licence: NM DD3546) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2015-08-21 |