| NPI | 1588040778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 64829) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019030396) |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2022-07-25 |