| NPI | 1013255348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AL 7444) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H6084) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |