| NPI | 1336758820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.026969) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NC 11972) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2022-08-18 |