NPI | 1548375710 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: IL 190-24119) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021001835) |
Enumeration Date | 2006-08-20 |
Last Update Date | 2024-02-05 |