| NPI | 1598927311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30022980) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH RES.2749) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2015-04-20 |