| NPI | 1538454517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MI 2901020874) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.028593) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021.002426) | |
| 122300000X Dentist (Licence: MI 2901020874) | |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2014-04-11 |