| NPI | 1447572177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-023525) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401412704) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2012-11-05 |