| NPI | 1992971477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019027486) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IL 01902786) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2019-01-28 |