| NPI | 1356379846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL DS030894L) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: PA MD423518) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2023-07-21 |