NPI | 1710030705 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-021594) |
Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: IL 019-021594) |
Enumeration Date | 2007-01-21 |
Last Update Date | 2007-07-08 |