| NPI | 1497231385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO DEN.00205476) |
| Additional Taxonomies | 122300000X Dentist (Licence: CA 102767) |
| Enumeration Date | 2018-07-14 |
| Last Update Date | 2024-06-10 |