| NPI | 1902323306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN27547) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.025113) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2022-11-29 |