| NPI | 1942866900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA DN1858378) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019030914) |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2020-01-24 |