| NPI | 1982250759 |
|---|---|
| Former Name | NATALIE MARIE HALLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: CO DH.002024165) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: GA DH043290) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2023-09-22 |