| NPI | 1760804074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO 906572) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CO 724392) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |