NPI | 1033817044 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: OH 30.027433) |
Additional Taxonomies | 122300000X Dentist (Licence: OH 30.027433) |
Enumeration Date | 2023-02-20 |
Last Update Date | 2024-06-05 |