| NPI | 1083970008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 104788) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019028952) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2021-05-19 |