NPI | 1205965548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: IL 019-023139) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019-023139) |
Enumeration Date | 2007-03-04 |
Last Update Date | 2007-07-08 |