| NPI | 1932588969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NE 7311) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: CO DEN.00202931) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2020-11-02 |