| NPI | 1831350586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30022914) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019026393) |
| 1223G0001X Dentist, General Practice (Licence: TX 23636) | |
| 1223G0001X Dentist, General Practice (Licence: AR 3748) | |
| 1223G0001X Dentist, General Practice (Licence: OK 6166) | |
| 1223G0001X Dentist, General Practice (Licence: LA 6046) | |
| 1223G0001X Dentist, General Practice (Licence: IA 08705) | |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2011-04-21 |