| NPI | 1518150259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: 05C79) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: IL 020003137) |
| 225500000X Specialist/Technologist (Licence: 05C79) | |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2022-07-21 |