| NPI | 1700473139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H8436) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO 002023604) |
| Enumeration Date | 2020-12-31 |
| Last Update Date | 2023-01-25 |