| NPI | 1427752914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO MSDEN.00000008) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL 27982) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2024-12-04 |