| NPI | 1205495546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.026646) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH RES.004095) |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2023-07-12 |