| NPI | 1033361449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AZ 16599) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NC 8509) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2009-02-05 |