| NPI | 1336434620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO DEN.00202152) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OK 7149) |
| 1223G0001X Dentist, General Practice (Licence: NM DD4068) | |
| 1223G0001X Dentist, General Practice (Licence: CO DEN.00202152) | |
| 1223G0001X Dentist, General Practice (Licence: KS 61154) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2021-04-21 |