| NPI | 1235732165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: TN 10245) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: WI 1003621) |
| Enumeration Date | 2020-11-22 |
| Last Update Date | 2022-02-14 |