| NPI | 1700343332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.027770) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 106225) |
| 1223G0001X Dentist, General Practice (Licence: CA 0000000) | |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2025-03-01 |