| NPI | 1174924138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WI 11411) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OR H6659) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |