| NPI | 1003361346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH002024148) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO DH.001014148) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2020-05-15 |