| NPI | 1043842172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 111471) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.032468) |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2025-08-18 |