| NPI | 1144774589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: TX 26701) |
| Additional Taxonomies | 126800000X Dental Assistant (Licence: TX 87939) |
| Enumeration Date | 2016-08-14 |
| Last Update Date | 2024-09-03 |