NPI | 1184182958 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30.026070) |
Additional Taxonomies | 122300000X Dentist (Licence: OH 30.026070) |
Enumeration Date | 2019-03-11 |
Last Update Date | 2020-03-24 |