| NPI | 1639809262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019035637) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA D-10004) |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2025-07-09 |