| NPI | 1063158327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: KY 7487) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: 7487) |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-10 |