| NPI | 1992930887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019028451) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 167472) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2013-02-06 |