| NPI | 1558937458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO DEN.00204715) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: CO DEN00204751) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-06-02 |