| NPI | 1033467113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AZ H04804) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AZ H05302) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |