| NPI | 1003048000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 109443) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019-026856) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2023-09-20 |