NPI | 1245649649 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: WI 100123915) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019029755) |
Enumeration Date | 2014-08-11 |
Last Update Date | 2016-03-16 |