| NPI | 1457434466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021.002423) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019-026699) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2023-10-18 |