| NPI | 1831877232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: OH RES.004714) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: IL 018002247) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 018002247) | |
| 208600000X Surgery (Licence: IL 018002247) | |
| 2086S0129X (Licence: IL 018002247) | |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2024-06-28 |