| NPI | 1295056885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 905849) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H5669) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2013-06-17 |