| NPI | 1215296942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021002556) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019029340) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2015-06-07 |