| NPI | 1215546023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.026269) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 10662) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2021-10-13 |