| NPI | 1326322603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H5701) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO 905263) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2021-10-12 |