| NPI | 1184853160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 905711) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CO 1050715) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2009-07-10 |