| NPI | 1982922092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30-023211) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 057578) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2020-07-17 |