| NPI | 1912985912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019022459) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO DEN.00204170) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO DEN.00204170) | |
| 204E00000X Oral & Maxillofacial Surgery (Licence: TX 11-K5378) | |
| 122300000X Dentist (Licence: IL 019022459) | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2020-08-26 |