| NPI | 1619497021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: IL 019.032846) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: FL DTP662) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2020-12-10 |