| NPI | 1508628165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: TX 42000) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: OH RES004561) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2025-09-23 |