NPI | 1063968303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019030762) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 37157) |
Enumeration Date | 2016-08-28 |
Last Update Date | 2025-04-24 |