NPI | 1184027773 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 30617) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019029797) |
Enumeration Date | 2014-09-27 |
Last Update Date | 2015-03-12 |