| NPI | 1336690676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002024269) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO LOCAL.0000787) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |