| NPI | 1982637435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CO DEN-9179) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NE 6644) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2010-07-20 |