| NPI | 1760864110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 01-9980) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.019980) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2022-10-21 |