| NPI | 1356971428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OH 30027073) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: OH RES.004173) |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2024-02-13 |