| NPI | 1730603382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019031304) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 103924) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-07-21 |