| NPI | 1598977092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OK 6659) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30.021601) |
| 122300000X Dentist (Licence: AR 4388) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2022-10-21 |