| NPI | 1891781894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.022095) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12010111A) |
| 1223G0001X Dentist, General Practice (Licence: LA 5541) | |
| 1223G0001X Dentist, General Practice (Licence: OH 30-22095) | |
| 1223G0001X Dentist, General Practice (Licence: KY 8558) | |
| Enumeration Date | 2005-09-25 |
| Last Update Date | 2023-03-04 |