| NPI | 1952397358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 11501) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS037109) |
| 122300000X Dentist (Licence: DC DEN1001611) | |
| 122300000X Dentist (Licence: MI 2901021809) | |
| 1223G0001X Dentist, General Practice (Licence: DE G1-0001395) | |
| 122300000X Dentist (Licence: WI 1001042) | |
| 122300000X Dentist (Licence: NY 043881) | |
| 122300000X Dentist (Licence: OH 3024695) | |
| 122300000X Dentist (Licence: TN DS0000009935) | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2024-01-17 |