| NPI | 1659513950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: SC DGD10949) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 019-025711) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2024-10-29 |