| NPI | 1245501246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH-905345) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: GA DH006984) |
| 124Q00000X Dental Hygienist (Licence: PA DH068066) | |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2022-07-07 |