| NPI | 1346099330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH RES.004750) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401419628) |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2025-11-24 |