| NPI | 1093369407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: KS 12312) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MO 2017036803) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-08-21 |