NPI | 1487490025 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: OH 30.027791) |
Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: KY 11170) |
Enumeration Date | 2024-07-03 |
Last Update Date | 2025-02-19 |