| NPI | 1215983226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 000906283) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA 2121) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2022-07-21 |