| NPI | 1962850537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002747) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019030612) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-08-09 |