NPI | 1225373996 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 021.002598) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019.029767) |
Enumeration Date | 2012-12-06 |
Last Update Date | 2014-09-10 |