| NPI | 1386844785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 6035-015) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30-022715) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2010-07-22 |