| NPI | 1255973483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00206282) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AR 3267) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2025-05-27 |