| NPI | 1043325053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 30.028172) |
| Additional Taxonomies | 122300000X Dentist (Licence: AL 5035) |
| 1223G0001X Dentist General Practice (Licence: AL 5035) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2025-08-28 |