NPI | 1013322775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: FL DRP1569) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019030150) |
Enumeration Date | 2014-06-20 |
Last Update Date | 2017-01-09 |