NPI | 1023166212 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-022539) |
Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: IL 021-001778) |
Enumeration Date | 2007-01-06 |
Last Update Date | 2007-07-08 |