| NPI | 1750895918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002024387) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO LOCAL.0001035) |
| 124Q00000X Dental Hygienist (Licence: ME RDH3904) | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |