| NPI | 1215366588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 906370) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: UT 7999679-0701) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |