| NPI | 1295580900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN32249) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH RES004720) |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2026-07-27 |