| NPI | 1205610615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AK 106222) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2024-06-21 |