NPI | 1043653553 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: IL 019015470) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019015470) |
Enumeration Date | 2013-04-15 |
Last Update Date | 2019-10-02 |