| NPI | 1124577325 |
|---|---|
| Former Name | BRENDA SHIRLEY BADKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 002024339) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA 11758) |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2016-09-28 |