NPI | 1194030957 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 19035149) |
Additional Taxonomies | 122300000X Dentist (Licence: OK 6454) |
122300000X Dentist (Licence: MO 2010017952) | |
Enumeration Date | 2010-08-17 |
Last Update Date | 2024-07-23 |