| NPI | 1073876108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00202000) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN19706) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2023-03-01 |