| NPI | 1023761608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 110341) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019034136) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2024-07-20 |