| NPI | 1922483890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019033123) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: IL 019.033123) |
| 1223P0700X Dentist, Prosthodontics (Licence: TX 34819) | |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2023-01-10 |