| NPI | 1295348282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: NE 7747) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO DEN.00204510) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2023-03-07 |