| NPI | 1154658581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MA DH87056) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: GA DH009897) |
| 124Q00000X Dental Hygienist (Licence: AZ 5274) | |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2009-11-05 |