| NPI | 1962736884 |
|---|---|
| Former Name | KRISTINA LYNN LADAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MO 2005015346) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: KS 10594) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |