| NPI | 1427424068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: OH 30.027371) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA dn1857026) |
| 1223P0700X Dentist, Prosthodontics (Licence: CA 102415) | |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2024-04-04 |