| NPI | 1275156127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL dn25728) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH RES.004209) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2025-02-25 |