| NPI | 1518046036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019-022666) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 51870) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2021-04-21 |