| NPI | 1952552002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-022848) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 24502) |
| 1223G0001X Dentist, General Practice (Licence: VA 0401418036) | |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2023-12-21 |