NPI | 1164822722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00202226) |
Additional Taxonomies | 122300000X Dentist (Licence: CO DEN.00202226) |
Enumeration Date | 2014-09-01 |
Last Update Date | 2019-08-30 |