| NPI | 1730866757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NM DB-2025-0404) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30027273) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2026-01-06 |