| 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 |