| NPI | 1487847240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: SC 11066) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: OH 30-022644) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2025-08-01 |