| NPI | 1114554284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 107043) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019032705) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2021-11-17 |