| NPI | 1184850661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.027969) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: IL 019.027969) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019.027969) | |
| 1223P0300X Dentist, Periodontics (Licence: IL 019.027969) | |
| 1223P0700X Dentist, Prosthodontics (Licence: IL 019.027969) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2016-12-20 |