| NPI | 1992755177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: OH 30.022282) |
| Additional Taxonomies | 1223D0001X Dentist Dental Public Health (Licence: OH 30022282) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-05-19 |