NPI | 1043356918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.021941) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.021658) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2007-07-08 |