| NPI | 1518530005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 10601) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.026599) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2023-01-23 |