| 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 |