| NPI | 1972945293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MA DN1857991) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019029573) |
| Enumeration Date | 2013-07-28 |
| Last Update Date | 2018-09-04 |