| NPI | 1174018709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.025908) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 10161) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2023-07-31 |