| NPI | 1467787713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 64349) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.028586) |
| 1223G0001X Dentist, General Practice (Licence: MD 14602) | |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2020-05-19 |