NPI | 1396173480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021003080) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019029623) |
Enumeration Date | 2013-10-29 |
Last Update Date | 2022-01-06 |