| NPI | 1124304373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MN H8357) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO 906414) |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2013-05-16 |