| NPI | 1134520620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002629) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019-029080) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2021-09-26 |