NPI | 1841605789 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002710) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019030497) |
Enumeration Date | 2014-06-30 |
Last Update Date | 2020-11-11 |