| NPI | 1477171734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.027417) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 7504) |
| 122300000X Dentist (Licence: DC DEN1002145) | |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2026-03-01 |