| NPI | 1215155072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: AZ 2383) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: CA RDH 15685) |
| 124Q00000X Dental Hygienist (Licence: MA 11562) | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |