| NPI | 1255409561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-01-8263) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS027610L) |
| 1223G0001X Dentist, General Practice (Licence: IL 019022494) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2007-07-08 |