| NPI | 1295097772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 10304) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019029731) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021002594) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2019-04-11 |