| NPI | 1134560956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: KY 9389) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: IN 12012428A) |
| 1223G0001X Dentist General Practice (Licence: OH 30.024032) | |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2018-07-24 |