| NPI | 1821415852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002513) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019029341) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |