| NPI | 1497443923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AZ H011170) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO DH.002024663) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2024-11-19 |