NPI | 1730530346 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30.025145) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: DC DEN1001630) |
Enumeration Date | 2016-06-24 |
Last Update Date | 2022-11-14 |