| NPI | 1851627731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: IL 021002601) |
| Additional Taxonomies | 1223E0200X Dentist Endodontics (Licence: CO DEN.00203390) |
| 1223E0200X Dentist Endodontics (Licence: IL 021002625) | |
| 1223P0221X Dentist Pediatric Dentistry (Licence: CO DEN.00303390) | |
| 1223P0221X Dentist Pediatric Dentistry (Licence: IN 12012141A) | |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2018-07-20 |