NPI | 1720762529 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.027445) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 39731) |
Enumeration Date | 2023-06-12 |
Last Update Date | 2025-07-27 |