NPI | 1083230403 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00204504) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO T-DEN.00000036) |
Enumeration Date | 2020-06-22 |
Last Update Date | 2020-08-19 |