NPI | 1134449747 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021002694) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019028295) |
Enumeration Date | 2010-06-04 |
Last Update Date | 2018-05-03 |