| NPI | 1861988941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 040147244) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH Res.004007) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2021-07-16 |