| NPI | 1396095287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: CO DEN.00205836) |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics (Licence: WI 6875) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2024-09-16 |