| NPI | 1417473885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN26430) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.026660) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2021-12-27 |