| NPI | 1477912319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: WV 35190) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN22184) |
| 204E00000X Oral & Maxillofacial Surgery (Licence: IL 137001121) | |
| 204E00000X Oral & Maxillofacial Surgery (Licence: IL 021003261) | |
| 204E00000X Oral & Maxillofacial Surgery (Licence: IL 019034169) | |
| 204E00000X Oral & Maxillofacial Surgery (Licence: IL 036166072) | |
| Enumeration Date | 2016-02-21 |
| Last Update Date | 2025-08-08 |