| NPI | 1093480279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: IA FAC-40233) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: OH 004358) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2024-08-06 |