| NPI | 1801406087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00204482) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: OR D11393) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2021-09-01 |