NPI | 1356515894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MD 15748) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021.002380) |
Enumeration Date | 2008-04-16 |
Last Update Date | 2015-01-31 |