NPI | 1629348081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: IL 019030538) |
Additional Taxonomies | 1223X0008X Dentist, Oral and Maxillofacial Radiology (Licence: TX 27606) |
Enumeration Date | 2012-01-03 |
Last Update Date | 2016-01-06 |