| NPI | 1477056109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.000906315) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: UT 7994338-9920) |
| 124Q00000X Dental Hygienist (Licence: OR H7417) | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-09 |