| NPI | 1144531922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30.023249) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.023249) |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2023-04-10 |