| NPI | 1508597543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021003178) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019032339) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019032339) | |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2022-06-21 |