| NPI | 1922699008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 107301) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019032948) |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2024-01-09 |