| NPI | 1033211586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics (Licence: CO DEN.00206036) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: ID D-3905) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2025-08-28 |