NPI | 1093907024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 021.002386) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.028388) |
Enumeration Date | 2007-08-14 |
Last Update Date | 2012-04-23 |