| NPI | 1578924056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 002023982) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: SD DH1223) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |