| NPI | 1922240852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CO 10177) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO 10177) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2023-07-27 |