| NPI | 1922266006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OH 30-024668) |
| Additional Taxonomies | 122300000X Dentist (Licence: OH 30-024668) |
| 122300000X Dentist (Licence: NC 8597) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 8597) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2022-04-21 |