| NPI | 1558715789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AZ D012084) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.025769) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2025-01-10 |