| NPI | 1720236482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: GA DN014867) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30-022873) |
| 1223G0001X Dentist, General Practice (Licence: TN 9795) | |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2022-10-24 |