| NPI | 1548908536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021.003316) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2951000878) |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2025-09-16 |