NPI | 1306135538 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 100479) |
Additional Taxonomies | 122300000X Dentist (Licence: IL 019028998) |
390200000X Student in an Organized Health Care Education/Training Program | |
1223P0221X Dentist, Pediatric Dentistry (Licence: AZ D009173) | |
Enumeration Date | 2011-03-28 |
Last Update Date | 2016-08-15 |