| NPI | 1225871411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: KS 13623) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: TX 26826) |
| Enumeration Date | 2024-06-15 |
| Last Update Date | 2024-07-30 |