| NPI | 1205406824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.033226) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA DDS107266) |
| Enumeration Date | 2021-06-26 |
| Last Update Date | 2022-03-28 |