| NPI | 1124190699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS103392) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019-024763) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2019-11-15 |