| NPI | 1376984567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: IL 019.029395) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.029395) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2022-08-12 |