NPI | 1942450275 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019-023930) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019-018859) |
Enumeration Date | 2008-09-23 |
Last Update Date | 2008-09-23 |