| NPI | 1194605790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: NM DH5109) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: MT DEN-RDH-LIC-30956) |
| 124Q00000X Dental Hygienist (Licence: AZ H009326) | |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |