NPI | 1295953529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 21001777) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 19023620) |
Enumeration Date | 2007-04-23 |
Last Update Date | 2022-04-02 |