NPI | 1093909855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN-9397) |
Additional Taxonomies | 122300000X Dentist (Licence: CO DEN-9397) |
Enumeration Date | 2007-09-04 |
Last Update Date | 2020-07-16 |