NPI | 1548232291 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021002496) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 019-025899) |
1223G0001X Dentist, General Practice (Licence: CO 8742) | |
Enumeration Date | 2006-02-06 |
Last Update Date | 2020-05-15 |