| NPI | 1538632591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002888) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019030589) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2020-02-18 |