| NPI | 1710094768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021.002397) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019-026451) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2016-03-03 |