| NPI | 1710247408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: IL 021002465) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019028958) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2022-07-20 |