| NPI | 1801100896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: CO DEN.00202121) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH RES.2944) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2024-09-12 |