| NPI | 1346572625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL 18930) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO DEN-10105) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2017-02-25 |