| NPI | 1598367237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002024481) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: TX 23083) |
| 124Q00000X Dental Hygienist (Licence: KS 11652) | |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-09 |