| NPI | 1689810210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS037698) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.023355) |
| Enumeration Date | 2009-01-03 |
| Last Update Date | 2018-05-22 |