NPI | 1881008472 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: IL 021002571) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019029722) |
Enumeration Date | 2014-06-11 |
Last Update Date | 2014-06-11 |