NPI | 1437682283 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223E0200X Dentist Endodontics (Licence: MD 17506) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019031451) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: 390300000X) | |
Enumeration Date | 2017-04-08 |
Last Update Date | 2022-11-16 |