| NPI | 1235689886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.027863) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 55697) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |