| NPI | 1093231466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: IL 019031352) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019-031352) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2023-10-24 |