NPI | 1841530433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IL 021.002665) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 01929292) |
Enumeration Date | 2013-02-19 |
Last Update Date | 2016-12-08 |