| NPI | 1790398402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO DEN.00205841) |
| Additional Taxonomies | 122300000X Dentist (Licence: MI 2901600628) |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2024-01-04 |