NPI | 1336870401 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019033744) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019033744) |
Enumeration Date | 2022-06-20 |
Last Update Date | 2022-06-20 |