| NPI | 1720622152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: VA 0401418680) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: IL 136.000250) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2024-02-07 |