| NPI | 1215333166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: WI 10906) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: OH 31.014241) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |