| NPI | 1336873678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.027651) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH RES.004441) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2024-11-29 |