NPI | 1124182894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019-021456) |
Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: IL 021-001502) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2007-07-08 |