| NPI | 1356492276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019019877) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 019019877) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2021-04-21 |