NPI | 1285250951 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MD 18474) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.032579) |
Enumeration Date | 2020-06-18 |
Last Update Date | 2025-01-29 |