| NPI | 1013987114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-022597) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12010224A) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2020-11-18 |