| NPI | 1013709575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 09258) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NC 09258) |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-05-20 |