| NPI | 1043520034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00201908) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS038454) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2013-02-15 |