| NPI | 1972766798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IL 021.001749) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.023646) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-09-24 |