| NPI | 1952508392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 53158) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 19025951) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2012-04-24 |