| NPI | 1366021362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.028322) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 7435) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2026-07-28 |