| NPI | 1801235189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021002787) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 0401414083) |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2022-07-21 |