| NPI | 1033761168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: UT 12483837-9920) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NC 12348) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2023-04-26 |