| NPI | 1770162521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021.003337) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.033189) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2024-07-16 |