| NPI | 1821155037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: MA 1855924) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30-022252) |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality (Licence: RI DEN02953) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2016-10-20 |