| NPI | 1841720364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MA DN1859288) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 018.002031) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2022-06-24 |