| NPI | 1366035354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H7741) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO DH.002025908) |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-04-29 |