| NPI | 1518183599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 37129) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 19-021747) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2014-08-15 |