| NPI | 1770844789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00203945) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: FL DN19702) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2023-11-05 |