| NPI | 1902334238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 003858) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 104941) |
| 1223G0001X Dentist, General Practice (Licence: OH 30.025307) | |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2023-01-31 |