NPI | 1205726106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NY 064612) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: IL 019.033706) |
Enumeration Date | 2025-07-03 |
Last Update Date | 2025-07-03 |