NPI | 1639503519 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002474) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019028048) |
Enumeration Date | 2013-08-27 |
Last Update Date | 2022-09-12 |