| NPI | 1932369592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002024970) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CA 8716) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2018-04-19 |