| NPI | 1538729678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.032074) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 105209) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2020-08-06 |