| NPI | 1174853618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002024335) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H3473) |
| 124Q00000X Dental Hygienist (Licence: WA 5477) | |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2023-05-04 |