| NPI | 1558440644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-023125) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PR 2461) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2025-12-04 |