| NPI | 1144245390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021002375) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 051588-1) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-03-23 |