| NPI | 1003295999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: UT 5368500-9920) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: VA 0402205335) |
| Enumeration Date | 2015-05-25 |
| Last Update Date | 2015-05-25 |