| NPI | 1184912016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: OH 30025319) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30025319) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2021-03-17 |