| NPI | 1285289777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN28789) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30.025864) |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2024-09-24 |