| 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 |