| NPI | 1518373232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30.024232) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30-024232) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2017-03-02 |