| NPI | 1336319177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019-027449) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002241, 019027449) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2021-04-23 |