| NPI | 1700318383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002024558) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MI 2902015928) |
| Enumeration Date | 2017-04-01 |
| Last Update Date | 2017-04-01 |