| NPI | 1609882364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: OH 30.022691) |
| Additional Taxonomies | 1223D0001X Dentist, Dental Public Health (Licence: VA 0401005667) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2011-02-02 |