NPI | 1023296613 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019028243) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 14301) |
1223G0001X Dentist, General Practice (Licence: DC DEN1000688) | |
Enumeration Date | 2008-02-05 |
Last Update Date | 2013-02-28 |