| NPI | 1487081519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0106X Dentist Oral and Maxillofacial Pathology (Licence: IL 019-031959) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA DL12079) |
| 122300000X Dentist (Licence: IL 136000206) | |
| 204E00000X Oral & Maxillofacial Surgery (Licence: IL 019-031959) | |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2021-04-22 |