| NPI | 1023499316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH000904524) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AZ H 02048) |
| 124Q00000X Dental Hygienist (Licence: CA RDH 13909) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2021-06-08 |