| NPI | 1306463955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00205564) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: IA DDS-09795) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-12-06 |