| NPI | 1861905028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002878) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019031343) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2019-11-07 |