| NPI | 1861168122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019.034670) |
| Additional Taxonomies | 122300000X Dentist (Licence: NE 7752) |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2024-01-11 |