| NPI | 1043906159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WI 7001101-16) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MN H11462) |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |