| NPI | 1346653821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00202227) |
| Additional Taxonomies | 122300000X Dentist (Licence: NE 7148) |
| 1223D0001X Dentist, Dental Public Health (Licence: NE 7148) | |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2022-05-25 |