| NPI | 1952324493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 30-022352) |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 11780) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2022-09-24 |