| NPI | 1932332079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 019-028110) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019-028110) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2023-08-18 |