NPI | 1356546410 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 53105) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 019.026714) |
Enumeration Date | 2007-06-19 |
Last Update Date | 2010-02-24 |