| NPI | 1770317208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO AD.0000529) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: CO AD.0000529) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-09-05 |