| NPI | 1922660729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.026515) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401416608) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2022-11-08 |