| NPI | 1164272506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: PA DH074413) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: ME RDH4560) |
| 124Q00000X Dental Hygienist (Licence: WI 700112516) | |
| Enumeration Date | 2024-03-26 |
| Last Update Date | 2024-03-26 |