| NPI | 1538568522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 103373) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019028540) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2022-12-30 |