| NPI | 1427407840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC 9856) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 3024794) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2024-10-22 |