| NPI | 1649688920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 35821) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019029971) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2019-12-04 |