| NPI | 1013340702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H5241) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: ID DH2488) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |