NPI | 1396157848 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002732) |
Additional Taxonomies | 122300000X Dentist (Licence: MO 2014015504) |
122300000X Dentist (Licence: IL 019030520) | |
Enumeration Date | 2014-06-02 |
Last Update Date | 2016-08-10 |