NPI | 1558896068 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019.032386) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA DDS103026) |
Enumeration Date | 2017-04-22 |
Last Update Date | 2023-02-02 |