| NPI | 1073215513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235500000X Specialist/Technologist |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NC 13105) |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2024-04-29 |