| NPI | 1316021389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30019708) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30-01-9708) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-12-20 |