| NPI | 1871026062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 021002783) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: OR D10878) |
| 1223P0300X Dentist, Periodontics (Licence: WA 60804939) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2022-02-17 |