| NPI | 1326202979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN014994) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30-022745) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2022-07-21 |