| NPI | 1215212394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WV 3971) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30-025926) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2023-08-03 |