| NPI | 1326672791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 136.000268) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA 0) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2022-08-03 |