| NPI | 1083318554 |
|---|---|
| Other Name | SHANIE MARIE ADAIME ORTIZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002025355) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO LOCAL.0001665) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |