NPI | 1457732513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 103607) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30-024521) |
Enumeration Date | 2015-06-15 |
Last Update Date | 2020-02-12 |