| NPI | 1033200811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00204446) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO DEN.00204446) |
| 1223G0001X Dentist, General Practice (Licence: KS 60408) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-09-24 |