| NPI | 1548232291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021002496) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 019-025899) |
| 1223G0001X Dentist, General Practice (Licence: CO 8742) | |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2020-05-15 |