| NPI | 1639503519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002474) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019028048) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2022-09-12 |