| NPI | 1740878958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 105989) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.032477) |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2022-09-15 |