| NPI | 1558243428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: OH RES.004996) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH RES.004996) |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-23 |