| NPI | 1083053961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.000903013) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO 903013) |
| 124Q00000X Dental Hygienist (Licence: TX 11626) | |
| 124Q00000X Dental Hygienist (Licence: IL 020-003911) | |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2022-11-07 |