| NPI | 1043853823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002025635) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: FL DH27122) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |