| NPI | 1043375629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: CO AD.0000520) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: CT P07768) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2018-11-29 |