NPI | 1790905230 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 12794) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 12794) |
122300000X Dentist (Licence: IL 019027091) | |
Enumeration Date | 2007-04-26 |
Last Update Date | 2022-10-10 |