NPI | 1790946671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN-10037) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 14117) |
Enumeration Date | 2008-06-23 |
Last Update Date | 2020-04-02 |