NPI | 1245456441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019026832) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MI 2901019173) |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IN 12010785A) | |
Enumeration Date | 2007-04-17 |
Last Update Date | 2023-11-22 |