| NPI | 1477114577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OH 30.026092) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2951000782) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2020-07-30 |