| NPI | 1952581704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: OH 71-000228) |
| Additional Taxonomies | 1223P0700X Dentist Prosthodontics (Licence: KY 662) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2017-04-02 |