| NPI | 1063032464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: IL 020.013888) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: IN 13007000A) |
| Enumeration Date | 2020-04-26 |
| Last Update Date | 2020-05-24 |