| NPI | 1477114676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN00204007) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TN 11752) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2021-10-26 |