NPI | 1366637902 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019024555) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019-024555) |
Enumeration Date | 2007-09-06 |
Last Update Date | 2022-10-21 |