| NPI | 1326869165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002027269) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MN H11868) |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2025-11-24 |