NPI | 1235205741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 6789) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019027138) |
Enumeration Date | 2006-11-27 |
Last Update Date | 2011-09-02 |