NPI | 1538308341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019024191) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI wi 4809) |
Enumeration Date | 2009-02-18 |
Last Update Date | 2016-02-23 |