| NPI | 1952564585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: IL 021.001554) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019-021868) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-09-24 |