| NPI | 1669632824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 60344) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019028201) |
| 1223G0001X Dentist, General Practice (Licence: NY 054445-1) | |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2012-03-16 |