| NPI | 1215589247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL 25270) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: OH RES.004162) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2025-11-05 |