| NPI | 1730265273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.026304) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NJ 22DI02073800) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2021-08-25 |