| NPI | 1144877689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: TX 37070) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.032282) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2022-03-02 |