| NPI | 1285933127 |
|---|---|
| Other Name | PEGGY LILLIAN SPENCER-GROSE |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH000200841) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO 200841) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2022-01-11 |