NPI | 1427518331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 1002219-15) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.032281) |
Enumeration Date | 2019-03-25 |
Last Update Date | 2021-06-25 |