| NPI | 1538558408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021001441) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 021001441) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2018-05-24 |