| NPI | 1104555291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 108174) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019033696) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2023-07-14 |