| NPI | 1932631884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: NY 061665) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: OH 30.026310) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2023-07-15 |