| NPI | 1255911210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CO DEN.00205794) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019.033198) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2025-05-12 |