| NPI | 1275203622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO DEN.00204878) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CO 00204878) |
| 1223G0001X Dentist General Practice (Licence: CA 106280) | |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2022-03-28 |