| NPI | 1487941795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 30-023511) |
| Additional Taxonomies | 1223D0001X Dentist Dental Public Health (Licence: OH 023511) |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2024-01-24 |