NPI | 1891135802 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: OH 30024152) |
Additional Taxonomies | 122300000X Dentist (Licence: OH RES.3344) |
Enumeration Date | 2013-07-05 |
Last Update Date | 2022-03-25 |