| NPI | 1871163576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: IL 021.003293) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: IL 019.034633) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-06-25 |
| Last Update Date | 2023-10-03 |