| NPI | 1972156891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN.00204058) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NM DB-2024-0384) |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2025-10-22 |