| NPI | 1952939514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00204887) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MN D14522) |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2024-03-06 |