| NPI | 1043890296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.027160) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 9975) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2023-07-18 |