| NPI | 1437656899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.026287) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH RES.003930) |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2021-01-01 |