| NPI | 1528446606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IA DDS-09967) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.030462) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2022-04-28 |