| NPI | 1689519712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.000905557) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO LOCAL.2777643) |
| Enumeration Date | 2026-04-23 |
| Last Update Date | 2026-04-23 |