NPI | 1184048266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: IL 021003077) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019025379) |
Enumeration Date | 2014-02-11 |
Last Update Date | 2022-08-31 |