| NPI | 1417238700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: IL 021.002746) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IL 019.028735) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2021-09-30 |