| NPI | 1023539947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021003078) |
| Additional Taxonomies | 122300000X Dentist (Licence: MO 2017021966) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2024-09-18 |