| NPI | 1346927548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 30.027215) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH RES.004651) |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2024-07-17 |