| NPI | 1588967913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 00206143) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 0026060) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2025-06-04 |