| NPI | 1033782933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 787812-9922) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO DEN.00204800) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2022-10-10 |