| NPI | 1386027167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 000906000) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: UT 6708619-9920) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |