NPI | 1760910921 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 33166) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019031131) |
Enumeration Date | 2017-05-31 |
Last Update Date | 2024-11-08 |