| NPI | 1003504812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: HI DH2016) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: IN 13008174A) |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-04-28 |