| NPI | 1720658131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OH RES.004352) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: GA DN123050) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2023-08-10 |