| NPI | 1043757677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: KS 11317) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AL 7795) |
| 124Q00000X Dental Hygienist (Licence: TN 5689) | |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |