| NPI | 1447337167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN014233) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30.022431) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2021-01-26 |