| NPI | 1740390285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 61988) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019-025964) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021-002145) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-12-13 |