| NPI | 1003282633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: VA 0402205095) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: DC HYG1000641) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2018-08-23 |