| NPI | 1770661241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021001506) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019020690) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-09-11 |