| NPI | 1487953469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO DEN.00010371) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO DEN-10371) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2024-05-15 |