| NPI | 1295046795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: IL 021002737) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: FL ME122828) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2016-08-20 |