NPI | 1770657173 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019033560) |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NV S3-186) |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019033560) | |
Enumeration Date | 2006-11-17 |
Last Update Date | 2022-08-04 |