| NPI | 1033345871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 10138) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 150623) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2010-07-07 |