| NPI | 1457710220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 002024275) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WI 10636-16) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-02-22 |