| NPI | 1801875331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412059) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.017717) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2011-04-03 |