| NPI | 1194065649 |
|---|---|
| Former Name | ZHANNA YSCHOUK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 010913) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02523601) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2019-06-11 |