NPI | 1225747041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OH 30.027015) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 10802) |
Enumeration Date | 2022-11-21 |
Last Update Date | 2022-11-21 |