| NPI | 1568014686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS104547) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019.032110) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2020-10-19 |