| NPI | 1255785994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist (Licence: IL 0200013282) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: TX 16719) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2016-04-19 |