| NPI | 1336672831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: IL 021.003106) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.033187) |
| 1223P0700X Dentist, Prosthodontics (Licence: MI 2901600506) | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2021-07-19 |