| NPI | 1891215497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30.025271) |
| Additional Taxonomies | 122300000X Dentist (Licence: KY 9944) |
| 122300000X Dentist (Licence: TN 10556) | |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2023-12-20 |