| NPI | 1609934918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.020652) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 20652) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2013-04-19 |