| NPI | 1275542235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CO 00009376) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: MA 21520) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-11-10 |