| NPI | 1972277531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.027000) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CA 106785) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2023-01-06 |