| NPI | 1427127265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: OH 30-024413) |
| Additional Taxonomies | 1223P0300X Dentist, Periodontics (Licence: PR 2720) |
| 1223P0300X Dentist, Periodontics (Licence: MA 20900) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2016-03-08 |