| NPI | 1639772700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA DDS106181) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019032909) |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2021-09-08 |