| NPI | 1861573503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OH 21240) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: FL DN15753) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-02-28 |