| NPI | 1831685486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: CO DEN.00205311) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: NM DD4943) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2023-03-03 |