| NPI | 1164937447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NH 1662) |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |