| NPI | 1790733079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: OH 30019252) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: OH 30019252) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-08-08 |