| NPI | 1245482264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN18856) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.022912) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2011-02-03 |