| NPI | 1770098006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002023949) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO DH.0020023949) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2018-06-11 |