| NPI | 1396157848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002732) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2014015504) |
| 122300000X Dentist (Licence: IL 019030520) | |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2016-08-10 |