| NPI | 1487402939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.027461) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CT 14087) |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2025-03-02 |