| NPI | 1437412988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00202795) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OH 30.023776) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2023-06-26 |