| NPI | 1437400173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: KY 9693) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.023832) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2016-01-27 |