| NPI | 1760593669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain (Licence: OH 71.000284) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 71.00284) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-04-18 |