NPI | 1730506114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IL 019.030946) |
Additional Taxonomies | 122300000X Dentist (Licence: FL DN 21828) |
Enumeration Date | 2014-03-24 |
Last Update Date | 2020-08-06 |