| NPI | 1811348840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.026397) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 101167) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2021-08-08 |