| NPI | 1023850708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30.028217) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS044688) |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2025-09-23 |