| NPI | 1497163075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00205903) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 30329) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2025-01-02 |