| NPI | 1821110198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 54712) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: IL 019.028174) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2014-06-17 |