NPI | 1285894550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021001105) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 19A15855) |
Enumeration Date | 2008-06-11 |
Last Update Date | 2008-06-11 |