| NPI | 1104424670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO DEN.00204985) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO DEN.00204985) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2023-11-27 |