| NPI | 1134610546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.028307) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA DDS-09868) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2026-06-08 |