| NPI | 1013402080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021003111) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019031748) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2022-12-06 |