| NPI | 1427669795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.000905577) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO 000905577) |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |