| NPI | 1740625730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO 00202277) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO DEN.00202277) |
| Enumeration Date | 2013-05-03 |
| Last Update Date | 2022-07-21 |