| NPI | 1295369361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00204637) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: UT 12645178-9922) |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2025-08-06 |