NPI | 1235423112 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29147) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019028805) |
Enumeration Date | 2011-06-08 |
Last Update Date | 2019-10-07 |