| NPI | 1902256217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: OH 30.24815) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30.24815) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2021-08-24 |