NPI | 1962850537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 021002747) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019030612) |
Enumeration Date | 2016-05-24 |
Last Update Date | 2016-08-09 |