| NPI | 1114572229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.025873) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 11002) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2025-01-29 |