| NPI | 1144712589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN26389) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30.026293) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2024-09-05 |