| NPI | 1497396154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NV 7737) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 104470) |
| 122300000X Dentist (Licence: IL 019.032364) | |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2023-04-26 |