NPI | 1699535211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 019.035352) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019.035352) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2024-03-20 |
Last Update Date | 2024-09-26 |