NPI | 1124706122 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019034486) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019034486) |
Enumeration Date | 2023-07-10 |
Last Update Date | 2025-02-07 |