| NPI | 1033889068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: OR H7965) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AZ H04419) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |