| NPI | 1184314551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: TX 25584) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: DC HYG2001069) |
| 124Q00000X Dental Hygienist (Licence: MD 8325) | |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2024-06-24 |