| NPI | 1235448804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: MS 3863-10DH) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: GA DH009244) |
| 124Q00000X Dental Hygienist (Licence: IN 13006035A) | |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-09-30 |