NPI | 1295877918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021.002306) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 019-024301) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2022-10-31 |