NPI | 1457584021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002702) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019030475) |
Enumeration Date | 2009-08-31 |
Last Update Date | 2020-10-23 |