NPI | 1548895493 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.026413) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.26413) |
Enumeration Date | 2020-03-10 |
Last Update Date | 2021-08-05 |