| NPI | 1982123790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IL 019.035144) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA DDS101761) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2025-01-16 |