| NPI | 1518292648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN00202268) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 26004) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2024-02-15 |