| NPI | 1457806333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002024716) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MN H9789) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2019-10-07 |