| NPI | 1922685221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 106139) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.032966) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2023-12-04 |