| NPI | 1992138192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30.025788) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401414076) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2019-07-12 |