| NPI | 1124331731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021002613) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019028415) |
| Enumeration Date | 2010-07-24 |
| Last Update Date | 2017-02-10 |