| NPI | 1962028464 |
|---|---|
| Former Name | SARAH TANNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO LOCAL0000698) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CO 002024229) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2021-10-29 |