| NPI | 1003608480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: SC 12228) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: TN 9356) |
| 124Q00000X Dental Hygienist (Licence: VA 0402207494) | |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |