| NPI | 1740628361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.023983) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WV 4051) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2022-11-03 |