| NPI | 1649225061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 8327) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30022249) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-07-08 |