| NPI | 1073225462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 12153) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: NC 12153) |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-20 |