| NPI | 1033467311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H8044) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MT 1219) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2020-10-07 |