| NPI | 1821776212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 110824) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 0198034383) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2024-12-04 |