NPI | 1730503970 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401415080) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019030500) |
Enumeration Date | 2014-02-07 |
Last Update Date | 2018-03-17 |