| NPI | 1598010522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: OH 30024572) |
| Additional Taxonomies | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: OH Res.3304) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2021-06-21 |