| NPI | 1982181392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.025982) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 34541) |
| 1223G0001X Dentist, General Practice (Licence: VA 0401416223) | |
| 1223G0001X Dentist, General Practice (Licence: FL DN23749) | |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2020-05-13 |