| NPI | 1760051510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00205221) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: UT 12328611-9923) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2023-10-24 |