| NPI | 1487355038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH RES.004871) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IL 019034688) |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2025-07-09 |