| NPI | 1205256906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019029752) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 018001794) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002588) | |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-12-16 |