| NPI | 1912880642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002027408) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OH 31.018344) |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2026-06-25 |