| NPI | 1407820830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: CO 6576) |
| Additional Taxonomies | 122300000X Dentist (Licence: CO 6576) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2018-08-14 |