| NPI | 1023501210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 104986) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019031719) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2020-07-24 |