| NPI | 1235023524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002025485) |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-07-15 |