| NPI | 1891925087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 61578) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019028240) |
| 122300000X Dentist (Licence: IL 018001734) | |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2024-08-01 |