| NPI | 1003563529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 019034704) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901601228) |
| Enumeration Date | 2022-03-04 |
| Last Update Date | 2024-01-25 |