| NPI | 1922329473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 25333) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.025454) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2025-11-14 |