| NPI | 1841605789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DNF000467) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019030497) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002710) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2025-03-14 |