NPI | 1528802709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL tbd) |
Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: IL tbd) |
Enumeration Date | 2024-06-21 |
Last Update Date | 2024-06-21 |