| NPI | 1134251127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-023292) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019027124) |
| 1223G0001X Dentist, General Practice (Licence: NM DD2947) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2013-12-20 |