| NPI | 1356865000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 39347) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: OH 30.025965) |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2024-06-04 |