NPI | 1841605789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: GA DNF000467) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IL 019030497) |
1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: IL 021002710) | |
Enumeration Date | 2014-06-30 |
Last Update Date | 2025-03-14 |